Return to work in young and middle-aged colorectal cancer survivors:Factors influencing self-efficacy,fear,resilience,and financial toxicity

BACKGROUND Return to work(RTW)serves as an indication for young and middle-aged colorectal cancer(CRC)survivors to resume their normal social lives.However,these survivors encounter significant challenges during their RTW process.Hence,scientific research is necessary to explore the barriers and facilitating factors of returning to work for young and middle-aged CRC survivors.AIM To examine the current RTW status among young and middle-aged CRC survivors and to analyze the impact of RTW self-efficacy(RTW-SE),fear of progression(FoP),eHealth literacy(eHL),family resilience(FR),and financial toxicity(FT)on their RTW outcomes.METHODS A cross-sectional investigation was adopted in this study.From September 2022 to February 2023,a total of 209 participants were recruited through a convenience sampling method from the gastrointestinal surgery department of a class A tertiary hospital in Chongqing.The investigation utilized a general information questionnaire alongside scales assessing RTW-SE,FoP,eHL,FR,and FT.To analyze the factors that influence RTW outcomes among young and middle-aged CRC survivors,Cox regression modeling and Kaplan-Meier survival analysis were used.RESULTS A total of 43.54%of the participants successfully returned to work,with an average RTW time of 100 days.Cox regression univariate analysis revealed that RTW-SE,FoP,eHL,FR,and FT were significantly different between the non-RTW and RTW groups(P<0.05).Furthermore,Cox regression multivariate analysis identified per capita family monthly income,job type,RTW-SE,and FR as independent influencing factors for RTW(P<0.05).CONCLUSION The RTW rate requires further improvement.Elevated levels of RTW-SE and FR were found to significantly increase RTW among young and middle-aged CRC survivors.Health professionals should focus on modifiable factors,such as RTW-SE and FR,to design targeted RTW support programs,thereby facilitating their timely reintegration into mainstream society.

Innovative behaviour and career success: Mediating roles of self-efficacy and colleague solidarity of nurses

Objectives:The purpose of the study is to explore the relationships amongst innovative behaviour,self-efficacy,colleague solidarity of nurses and career success of nurses in China's Mainland.Method:This study used the cross-sectional investigation method and nurses were recruited from eight tertiary hospitals and four secondary hospitals in Tianjin,China.A convenience sample of 848 nurses was included in this survey.Structural equation model analysis was performed as well.Results:Results revealed that the nurses'career success score was at the medium degree,whilst innovative behaviour and self-efficacy were in the medium-high level and had high level of colleague solidarity.The four variables include innovative behaviour,self-efficacy,colleague solidarity of nurses and career success;each dimension showed positive correlation(r=0.145 to 0.923,P<0.05).Independent sample T-test showed no significant differences between the two types of hospitals in the main variables(P>0.05).Multiple linear regression analysis showed that innovative behaviour,self-efficacy and academic solidarity entered the career success regression equation(β=0.091 to 0.560,P<0.05),thereby possibly explaining 52.0%of the total variation.Hierarchical regression analysis and path analysis model showed that self-efficacy and colleague solidarity of nurses played mediating roles between innovative behaviour and career success(β=0.132 to 0.221,P<0.05).Conclusion:The level of career success of nurses remains to be improved.Additionally,high innovative behaviour,self-efficacy and colleague solidarity of nurses can improve the career success of Chinese nurses.

The Influence Mechanism of an Inclusive Organizational Climate on Innovation Input of Sci-Tech Talents

With the implementation of China’s innovation-driven development strategy,the competition among sci-tech talents has become increasingly fierce.Stimulating the innovative vigor of sci-tech talents has become a hot topic in theoretical research and policy practice.Based on the data from 246 questionnaires collected from sci-tech talents in Hebei province,this study explored the influence mechanism of an inclusive organizational climate on innovation input from technological talents and verified the mediating effects of innovation self-efficacy and intrinsic motivation.The results indicate that an inclusive organizational climate has a significant positive impact on innovation input,innovation self-efficacy,and intrinsic motivation of sci-tech talents.Both innovation self-efficacy and intrinsic motivation play a partial mediating role between an inclusive climate and innovation input.This study verified the important role of an inclusive climate in an organization’s human resource management practices and encouraged managers to emphasize enhancing the innovation self-efficacy and intrinsic motivation of sci-tech talents,thereby continuously improving the level of innovation.

Psychometric testing of the cross-culturally adapted Thai version of the Self-Care Self-Efficacy Scale version 3.0 in individuals with chronic illnesses

Objective:To assess the psychometric properties of the Thai version of the Self-Care Self-Efficacy Scale version 3.0(SCSES-v3.0)in individuals with chronic illnesses.Although originally developed and tested in a Western context,its applicability in Asian populations,including Thailand,remains inadequately explored.Methods:Psychometric tests were guided by COSMIN principles.This included the translation of the English version into Thai based on the ISPOR framework.Nine nursing experts evaluated the content validity.Data were obtained from a multicenter cross-sectional study conducted between July and November 2022.This study included individuals with chronic conditions from 16 primary care centers in Thailand.We tested the structural validity using exploratory factor analysis(EFA)and confirmatory factor analysis(CFA),and concurrent validity in relation to the Self-Care of Chronic Illness Inventory version 4.c(SC-CII-v4.c).We tested the scale’s reliability with McDonald’s u,Cronbach’s a,and the intraclass correlation coefficient(ICC).Results:The Thai SCSES-v3.0 demonstrated excellent content validity(k¼1.00).Thefinal analysis included a total of 385 participants.The EFA with thefirst split-half subsample(n¼193)extracted a twofactor structure.One reflected SCSES for maintenance and monitoring behaviors and another captured SCSES for management behaviors(item 6e10).CFA with the second split-half subsample(n¼192)and the overall sample(n¼385)supported the scale’s two-factor model with high factor loadings.Each dimension and the overall SCSES-v3.0 positively correlated with each scale and the overall SC-CII-v4.c.McDonald’s u and Cronbach’s a(both ranged 0.91e0.94)and ICC(ranged 0.95e0.96),indicated excellent internal reliability and test-retest reliability,respectively.Conclusions:The identification of a valid and reliable two-factor model for the Thai SCSES-v3.0 renders it a valuable tool for clinicians and investigators,facilitating the assessment of self-efficacy in self-care across diverse contexts.

Building Harmonious Community & Innovating Social Management and Services

Communities are the basic units as well as cell of the society. Community management and service is of fundamental significance for socia harmony, and also an important part of socia management innovation. Recent years

Callfor Papersfor Special Issue Innovative Pharmaceutical Research Facilitated by Ai

Al is revolutionizing the current paradigm of pharmaceutical research,addressing the challenges encountered at all stages of the process.Al driven drug discovery is based on biomedical big data and new algorithms to identify drug targets,screen and optimize active compounds,analyze drug properties,and facilitate drug production and quality control.On this basis,we are organize this special issue entitled“Innovative Pharmaceutical Research Driven by Al”,to collect Research articles,Review papers,and Short communications,facilitating pharmaceutical research.

Construction and Validation of a Chinese Translation of the Coping Self-Efficacy Scale,Adolescent Edition

Background:Coping self-efficacy can help individuals mitigate the adverse emotional impacts of stress,anxiety,and other negative emotions,and it also influences individuals’academic performance,including school adjustment and academic burnout.It is an important factor affecting the mental health of adolescents.However,there is no measurement tool specifically designed for adolescent populations in China.Therefore,the purpose of this study is to assess the applicability of the Coping Self-Efficacy Scale(CSES)among Chinese adolescents.Methods:In September 2023,this study collected data through online questionnaires and ultimately conducted item analysis,exploratory factor analysis,confirmatory factor analysis(CFA),measurement invariance analysis,reliability analysis,and criterion-related validity analysis on a sample of 1157 adolescents.Results:The results of item analysis showed that the items of CSES were significantly different between the high and low groups.Further factor analysis results showed the existence of a factor solution that explained 59.09%of the total variation,with factor loadings ranging from 0.52–0.78.CFA supported the three-factor model of Chinese adolescent version of the CSES(CFI=0.923,TLI=0.914,IFI=0.923,RMSEA=0.068).Measurement invariance analysis indicates that the scale satisfies gender measurement invariance(ΔCFI=-0.002,-0.001>-0.01,ΔRMSEA=-0.001,0<0.02,ΔSRMR=0.005,0.007<0.01).The Chinese adolescent version of the CSES was positively correlated with the Social Support Appraisal Scale(SS-A)and the Life Orientation Test-Revised(LOT-R,r=0.670,0.673,both p<0.01),and negatively correlated with the Chinese Perceived Stress Scale(CPSS),the State-Trait Anxiety Inventory(STAI)and the Adolescent Student Burnout Inventory(ASBI,r=-0.694,-0.233,-0.680,both p<0.01).The Cronbach’sα,McDonald’sω,split-half reliability and test-retest reliability of the Chinese adolescent version of the CSES were 0.953,0.955,0.933 and 0.894,respectively.Conclusion:The results indicate that the three-factor model of the Chinese adolescent version of the CSES is acceptable and demonstrates high reliability and validity,establishing it as a precise tool for measuring and assessing coping self-efficacy among Chinese adolescents.

Addressing inclusion,innovation,and sustainability challenges through the lens of economic geography:Introducing the hierarchical regional innovation system

The world is facing dramatic challenges related to environmental sustainability at an accelerating pace.In this context,the field of economic geography(EG)has been playing an important role in understanding both the socioeconomic and technological dimensions of these challenges,as it deals with a variety of complementary notions and perspectives.Departing from this lens,our aim is to explore a conceptual framework that can help us to understand environmental changes relating to multi-dimensional territorial development,notably in eco-nomic contexts where inequality is high,and stratification based on hierarchies regulate social and economic life.Based on the territory concept,we propose the original notion of a hierarchical regional innovation system(HRIS)that emphasises the pervasive role of hierarchies(powers)in regional innovation systems and illustrate its value with evidence and case studies from extant literature on sustainability transitions.The HRIS can help us understand and promote development paths considering the contribution of inclusive eco-innovations(another original conceptual amalgam).Through some empirical cases from other studies in low-carbon transitions,we show the application of the HRIS(and inclusive eco-innovation)framework.In conclusion,we provide incen-tives to explore new regional innovation systems,alongside the HRIS,adapted to different regions worldwide and centred on the inclusiveness of people and places.

Research on Innovation-Driven Expansion of Regional OFDI: New Evidence From a Business Environment Perspective

This paper investigates the impact of provincial innovation-driven efficiency on the expansion of regional Outward Foreign Direct Investment(OFDI)flows within the context of China’s economy during the period 2011 to 2020 by measuring the innovation-driven efficiency and business environment index using the DEA-Malmquist index and the combined CRITIC weighting method from the new perspective of business environment improvement.The findings reveal that:(a)There is an inverted U-shaped relationship between provincial innovation-driven efficiency and regional OFDI flows.This increase in innovation-driven efficiency can promote OFDI expansion of the region by improving its business environment.(b)The improvement of the business environments plays a significant intermediary and synergistic role in OFDI expansion driven by improved innovation efficiency.(c)The study of regional heterogeneity suggests that the central region enjoys the longest window period in terms of innovation-driven OFDI expansion,followed by the eastern region while the western region has the shortest window period.The improvement of the business environment in the western region is more effective in driving regional OFDI expansion.This conclusion remained true after the robustness test.In conclusion,this paper offers a few policy recommendations that can help Chinese capital of various kinds go global more effectively.

Setting up the Goal of Eliminating Outbreaks of Blue-green Alga, Innovating the Idea of Controlling the Taihu Lake, and Ensuring the Safety of Water Supply in the Taihu Lake

Since the water supply crisis in the Taihu Lake on May 29,2007,the control of the Taihu Lake has achieved remarkable results,and the eutrophication has been greatly reduced.Existing problems are as follows:outbreaks of blue-green alga still appear seriously every year,and there is no goal to eliminate outbreaks of blue-green alga;the load into the lake greatly exceeds the environmental capacity;reed wetlands are greatly reduced;there is still the possibility of a water supply crisis;the research of eliminating outbreak of blue-green alga is weak.In this paper,the experience of controlling the Taihu Lake is summarized,and the ultimate goals of eliminating eutrophication and outbreaks of blue-green alga and restoring wetlands and biodiversity are proposed.Control measures are proposed,such as deepening the promotion of the lake chief system,establishing the lake chief system in an all-round way,and increasing applied scientific and technological efforts and capital investment.The necessity and possibility of further controlling the Taihu Lake to eliminate outbreaks of blue-green alga should be recognized.Relying on controlling eutrophication alone cannot eliminate outbreaks of blue-green alga.The point that phosphorus control is the key to eliminate outbreaks of blue-green alga is not suitable for the Taihu Lake.The integration ideas of"three types"of technologies should be innovated.The first one is"double reduction and double increase"measures to eliminate eutrophication,of which"double reduction"is to reduce external point sources and non-point sources and internal blue-green alga in sediment;for external sources,the treatment standard of sewage plants should be paid special attention to.The second one is"double algae removal"measures to salvage blue-green alga,suppresses and kills algae.The blue-green alga on the surface,middle and bottom of water should be thoroughly salvaged and eliminated from various water areas.The third one is"double restoration"measures to restore wetlands and biodiversity.The area of wetlands should be restored to the area from the 1960s to the 1970s before outbreaks of blue-green alga,and vegetation coverage reaches 25%-30%.The Taihu Lake is controlled in different waters to ensure water supply safety in water sources.Five suggestions are proposed,such as revising the"Overall Plan for the Comprehensive Treatment of Water Environment in the Taihu Lake Basin"again,incorporating the goal of eliminating outbreaks of blue-green alga in the plan,setting up this research topic,greatly improving sewage treatment standards in local legislation.

Innovating the Student Management Mode of College Counselors Under the New Situation

As a specific group in the education system,counselors play a linking role among colleges,universities,students,and teachers,and they are the backbone of ideological and political education.The deepening of the new curriculum reform and the continuous innovation of new media technology and information dissemination methods have brought unprecedented opportunities and challenges to the student management mode of college counselors.Therefore,in order to further maximize the role of counselors,it is necessary to strengthen the innovation of the management mode.Based on the analysis of the need for innovation and the shortcomings at this stage,this study puts forward innovative measxires,hoping to provide reference for the improvement of student management efficiency and quality.

Improving innovation and entrepreneurship education in higher institutions: the impact of "Mass Entrepreneurship and Innovation" education on undergraduates' entrepreneurial intentions

The exploration of the way"mass entrepreneurship and innovation"(MEI)education influences students'aspirations to become entrepreneurs has grown into an important area of analysis in studies related to higher education.This research intends to examine the consequences of MEI education on students'tendency towards entrepreneurship,and to put forward methods for augmenting the teaching of innovation and entrepreneurship in private higher educational establishments.To achieve this objective,questionnaires and semi-structured interviews were employed in the study,which involved a total of 197 students and five education experts.The statistical analysis of the questionnaire data revealed that MEI education was positively related to students'entrepreneurial intentions,and that both entrepreneurial experience and family entrepreneurial background played moderating roles in this relationship.The interview findings indicated that private universities could enhance educational reforms by designing talent training programs,developing diversified curricula,and developing more professional entrepreneurial platforms to encourage students'entrepreneurial intentions.This study offers fresh insights for improving and perfecting the mechanism of innovation and entrepreneurship education in private universities.

Correlation between self-efficacy,parental parenting patterns,and severe depression in adolescents

BACKGROUND Adolescence is a critical period marked by significant psychological changes.This study explores how self-efficacy and parental parenting styles may influence the risk of severe depression among teens.The hypothesis is that higher self-efficacy and authoritative parenting patterns will be negatively correlated with severe depression in adolescents.AIM To investigate the correlation between self-efficacy,parenting patterns and major depression in adolescents,and to provide guidance for mental intervention.METHODS Using a cross-sectional survey design,the data were collected through a questionnaire survey.Patients with major depression and healthy adolescents in the hospital control group were selected as the study objects.The General Self-Efficacy Scale,the Parenting Style Evaluation Scale,and the Beck Depression Inventory were used as research instruments.Data input and statistical analysis were performed,including descriptive statistics,correlation analysis,through SPSS software.RESULTS The study found that depressed patients had significantly lower self-efficacy than healthy controls,and parenting style was significantly associated with depressive symptoms in terms of emotional warmth and understanding,punishment severity,and denial.Specifically,parental emotional warmth and understanding were significantly negatively associated with depressive symptoms,while parental punishment severity and denial were significantly positively associated with depressive symptoms.Self-efficacy showed a significant negative correlation with depressive symptoms,indicating that higher self-efficacy had lower depressive symptoms.CONCLUSION Adolescent major depressive disorder patient was significantly associated with their parenting style and selfefficacy.Higher self-efficacy is associated with decreased depressive symptoms,so improving adolescent selfefficacy and improving parenting style are important.

How does network intermediary affect collaborative innovation?Evidence from Chinese listed companies

Purpose:This study aims to explore how network intermediaries influence collaborative innovation performance within inter-organizational technological collaboration networks.Design/methodology/approach:This study employs a mixed-method approach,combining quantitative social network analysis with regression techniques to investigate the role of network intermediaries in collaborative innovation performance.Using a patent dataset of Chinese industrial enterprises,the research constructs the collaboration networks and analyzes their structural positions,particularly focusing on their role as intermediaries,characterized by betweenness centrality.Negative binomial regression analysis is employed to assess how these network characteristics shape innovation outcomes.Findings:The study reveals that firms in intermediary positions enhance collaborative innovation performance,but this effect is nuanced.A key finding is that network clustering negatively moderates the intermediary-innovation relationship.Highly clustered networks,while fostering local collaboration,may limit the innovation potential of intermediaries.On the other hand,relationship strength,measured by collaboration intensity and trust among firms,positively moderates the intermediary-innovation link.Research limitations:This study has several limitations that present opportunities for further research.The reliance on quantitative social network analysis may overlook the complexity of intermediaries’roles,and future studies could benefit from incorporating qualitative methods to better understand cultural and institutional factors.Additionally,cross-country comparisons are needed to assess the consistency of these dynamics in different contexts.Practical implications:The study offers practical insights for firms and policymakers.Organizations should strategically position themselves as network intermediaries to access diverse information and resources,thereby improving innovation performance.Building strong trust helps using network intermediary advantages.For firms in highly clustered networks,it is important to seek external partners to avoid limiting their exposure to new ideas and technologies.This research emphasizes the need to balance network diversity with relationship strength for sustained innovation.Originality/value:This research contributes to the literature by offering new insights into the role of network intermediaries,presenting a comprehensive framework for understanding the interaction between network dynamics and firm innovation.

The Future of Environmental Engineering Technology:A Disruptive Innovation Perspective

Scientific and technological revolutions and industrial transformations have accelerated the rate of innovation in environmental engineering technologies.However,few researchers have evaluated the current status and future trends of technologies.This paper summarizes the current research status in eight major subfields of environmental engineering—water treatment,air pollution control,soil/solid waste management,environmental biotechnology,environmental engineering equipment,emerging contaminants,synergistic reduction of pollution and carbon emissions,and environmental risk and intelligent management—based on bibliometric analysis and future trends in greenization,low carbonization,and intelligentization.Disruptive technologies are further identified based on discontinuous transformation,and ten such technologies are proposed,covering general and specific fields,technical links,and value sources.Additionally,the background and key innovations in disruptive technologies are elucidated in detail.This study not only provides a scientific basis for strategic decision-making,planning,and implementation in the environmental engineering field but also offers methodological guidance for the research and determination of breakthrough technologies in other areas.

Current Status and Future Suggestions for Innovative Drug Research and Development in China

In recent years,with the policy reform of new drug review and approval,China has ushered in a surge of innovative drug development.Based on the Pharnexcloud database and the Pharmcube database,we analyzed the innovative drugs approved for marketing and entered clinical trials in China,sorted out the major research and development(R&D)institutions and enterprises,the distribution of innovative drug target types,and the primary therapeutic areas of the approved innovative drugs,and compared with the global innovative drug R&D landscape.Since 2020,China's innovative drug development has shown a rapid growth trend,with intense competition among biopharmaceutical companies,and the emergence of a number of leading biopharmaceutical enterprises.Popular targets for clinical-stage and approved drugs include protein tyrosine kinase,epidermal growth factor receptor,vascular endothelial growth factor receptor,and others.Oncological diseases are the most active domain for new drug R&D in China,followed by infectious diseases and neurological diseases.Suggestions for future development are proposed to increase policy support,enhance R&D innovation investment,optimize pipeline layout,strengthen international cooperation,and focus on innovative targets.This review provides a reference for pharmaceutical R&D enterprises,scientific researchers,and government administrators.

Innovation and Firm Co-ownership Network in China’s Electric Vehicle Industry

Firms are embedded in complex networks,where diverse ideas combine and generate new ideas.Shareholders of firms are of-ten seen as critical external resources that have significant influence on firm innovation.The current literature tends to focus on the rela-tionship between firms and their shareholders,while paying less attention to the connections between firms with the same shareholders.This article identifies two types of network spillover effects,intra-city network effect and inter-city network effect,by visualizing the co-ownership networks in China’s electric vehicle(EV)industry.We find that firms with the same shareholders,which are defined as co-owned EV firms,are more innovative than non-co-owned ones.Furthermore,there are two dominant types of firm co-ownership ties formed by corporate and financial institution shareholders.While corporate shareholders help exploiting local tacit knowledge,financial institutions are more active in bridging inter-city connections.The conclusion is confirmed at both firm and city levels.This paper theor-izes the firm co-ownership network as a new form of institutional proximity and tested the result empirically.For policy consideration,we have emphasized the importance of building formal or informal inter-firm network,and the government should further enhance the knowledge flow channel by institutional construction.

The Mediating Effect of Digital Transformation on the Link Between Executive Overconfidence and Corporate Green Innovation

Green technological innovation is crucial for the manufacturing industry’s green transformation and sustainable development.This study examines the impact of executive overconfidence on corporate green innovation,focusing on the internal drivers of corporate innovation and using a sample of Shanghai and Shenzhen A-share listed manufacturing companies from 2013 to 2020.We further examine the mediating role of digital transformation and the moderating role of external attention.The findings indicate that executive overconfidence promotes corporate green technological innovation.Overconfident executives enhance green innovation by accelerating digital transformation.Moreover,external attention from analysts and media positively moderates the relationship between executive overconfidence and corporate green innovation.Heterogeneity analysis reveals that the positive impact of executive overconfidence on green innovation is more significant in non-state-owned enterprises,high-tech firms,and enterprises with lower pollution levels.

Innovative Practice of Intelligent Business Models in the Field of Communication

As a service format to meet spiritual needs, fashion culture industry is often synchronized in its creation, production, dissemination, display and consumption. In order to explore how artificial intelligence provides technical means, platforms, channels and space for intelligent formats in the field of communication, and how to provide intelligent services for cultural creation, communication, display and consumption. This paper discusses the application and innovation of artificial intelligence in all aspects of communication field, analyzes the problems and puts forward corresponding countermeasures and suggestions.

Surgeon Perspectives on Anastomotic Leaks and FluidAI’s StreamTM Platform: Integrating Qualitative Insights for Technological Innovation

Purpose: This article investigates the critical importance of integrating surgeons’ direct input into the development of innovative technologies that address gaps in surgical care, including those aimed at reducing anastomotic leaks (AL), a major complication in gastrointestinal surgery. While traditional quantitative research methods are prevalent, they often overlook the invaluable insights of the surgeons who manage these complications firsthand. Subjects and Methods: This study employs a qualitative approach, utilizing semi-structured interviews with 40 surgeons from various specialties, including general, bariatric, colorectal, trauma, hepato-biliary, and thoracic surgery. The interviews were designed to probe the needs of surgeons, challenges currently faced, and gaps in clinical practice, research, and technology for detection and/or management of AL. The data were analyzed using thematic analysis, which revealed significant gaps in current technologies for early detection and prevention of leaks. Results: Surgeons expressed strong interest in FluidAI’s Stream™ Platform, a non-invasive medical device designed to monitor postoperative drainage fluid in real-time, providing continuous data on AL risk. The ability of this platform to offer early prediction through pH and electrical conductivity analysis was particularly appealing to participants, who emphasized the importance of timely interventions in improving patient outcomes. The study’s findings highlight not only the clinical challenges but also the emotional toll that AL takes on surgeons, underlining the need for innovations that are both data-driven and humanistic. Conclusion: By centering surgeons’ perspectives, this research advocates for a human-centered approach to technological advancement, ensuring that new tools are both clinically effective and aligned with the real-world needs of surgical practitioners.